Health risk assessment and spatial distribution of nitrate, nitrite, fluoride, and coliform contaminants in drinking water resources of Kazerun, Iran.

Exposure to nitrate, nitrite, and fluoride through drinking water consumption, especially in arid and semi-arid regions, has been considered by many researchers. Therefore, the present study aimed to investigate the status of nitrate, nitrite, fluoride, and total coliforms in water supply sources of Kazerun located in Fars province, Iran, determine their spatial distribution, and perform health risk assessment in four age groups (infants, children, teenagers, and adults). In this research, the concentration data of 25 groundwater wells were examined. Then, the spatial distribution of the contaminants was determined using the Arc GIS software (v. 10.5) and their health risk assessment was performed via the standard method of the US Environmental Protection Agency. The maximum concentrations of nitrate, nitrite, and fluoride were 25.5, 0.056, and 0.72 mg/l, respectively and their mean concentrations were 13.5, 0.008, and 0.52 mg/l, respectively. In addition, the mean and maximum concentrations of coliforms were 371.21 and 2694.50 CFU/100 ml, respectively. The total coliforms value was higher than the permissible limit in 60 % of the cases. The highest Chronic Daily Intake (CDI) of the studied contaminants was related to nitrate among children (range: 0.21–1.45, with an average value of 0.77 mg/kg-day). Moreover, the Hazard Quotient (HQ) values were below 1 for all contaminants and in all age groups. The highest HQ value (0.9) belonged to nitrate amongst children. Furthermore, the Hazard Index (HI), as a cumulative effect of HQ, was calculated for all three contaminants and the results showed that it was greater than 1 in 56 % of the cases among children, which was considered a serious risk. The findings revealed no significant relationship between nitrate and nitrite concentrations and total coliforms. Overall, nitrate seemed to play a more critical role in the health risk of the exposed age groups in comparison to nitrite and fluoride. Hence, appropriate managerial measures are recommended to be taken.